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Individual

JENSYN SERENE WHITEHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
39 HIDDEN VALLEY DR, BIDWELL, OH 45614-9591
(740) 446-7623
(740) 446-7643
Mailing address
111 TOWNSHIP ROAD 209, WILLOW WOOD, OH 45696-9041
(740) 646-8563

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
403370
KY

Other

Enumeration date
01/06/2025
Last updated
05/15/2026
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